Organization Active NPI

Damien Pharmacy, LLC

  • Pharmacy
  • Indianapolis, IN
National Provider Identifier
1215794532
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
DAMIEN PHARMACY, LLC
Practice address
1420 E Washington Street
Suite 200
Indianapolis, IN 46201
Phone
(317) 981-1989
Fax
(317) 981-1990
NPI assigned
Mar 4, 2024
Last updated
Jul 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
John Bradley PlunkettNPI 1063758910
Title
Chief Pharmacy Officer
Phone
(317) 981-1989

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

1420 E Washington Street
Suite 200
Indianapolis, IN 46201

Mailing address

1420 E Washington Street
Suite 200
Indianapolis, IN 46201
Phone (317) 981-1989

Other names 1

  • Damien Pharmacy Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240328003110 IN Part B Supplier - Pharmacy 1052732666 Practice locations: Indianapolis, IN

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

1420 E Washington St
Ste 200
Indianapolis, IN 46201
Phone (317) 981-1989

26 N Arsenal Ave
Ste B
Indianapolis, IN 46201
Phone (317) 981-1989

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751328000000",
    "number": "1215794532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 E WASHINGTON STREET",
            "address_2": "SUITE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46201",
            "telephone_number": "317-981-1989",
            "fax_number": "317-981-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 E WASHINGTON STREET",
            "address_2": "SUITE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46201",
            "telephone_number": "317-981-1989",
            "fax_number": "317-981-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAMIEN PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2025-07-01",
        "certification_date": "2025-06-13",
        "status": "A",
        "authorized_official_last_name": "PLUNKETT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "CHIEF PHARMACY OFFICER",
        "authorized_official_telephone_number": "317-981-1989"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Damien Pharmacy",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Damien Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.